J Telemed Telecare - Tele-ABR using a satellite connection in a mobile van for newborn hearing testing.

Tópicos

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Resumo

We assessed the feasibility of conducting Auditory Brainstem Response (ABR) testing in a mobile van with satellite connectivity, with the help of trained health workers. ABR recordings in newborn babies made by telemedicine were compared with recordings made face to face. The auditory evoked response equipment was controlled by an audiologist at a nearby hospital. Videoconferencing was used during the testing process to monitor patient preparation by the village health worker. A total of 24 newborns (13 male and 11 female) aged 8-30 days underwent ABR in face-to-face and tele-mode. There was no significant difference between peak V latency measured at three intensity levels in the two modes. Agreement between the two methods of measurement was examined with a Bland-Altman plot. Almost all points were within the limits of agreement, suggesting no bias in the telemedicine measurements. Real-time tele-ABR testing as a component of newborn hearing screening is feasible in a mobile van using satellite link with the assistance of village health workers.

Resumo Limpo

assess feasibl conduct auditori brainstem respons abr test mobil van satellit connect help train health worker abr record newborn babi made telemedicin compar record made face face auditori evok respons equip control audiologist nearbi hospit videoconferenc use test process monitor patient prepar villag health worker total newborn male femal age day underw abr facetofac telemod signific differ peak v latenc measur three intens level two mode agreement two method measur examin blandaltman plot almost point within limit agreement suggest bias telemedicin measur realtim teleabr test compon newborn hear screen feasibl mobil van use satellit link assist villag health worker

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